Kalispell Oral Surgery Center LLC

NPI #1710652938 in Kalispell, Montana

Provider Information

NPI Number
1710652938
Entity Type
Organization
Organization Name
Kalispell Oral Surgery Center LLC
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Aug 10, 2021
Last Updated
Aug 10, 2021

Practice Location

Address
180 TIMBERWOLF PKWY
State
Montana
ZIP Code
59901-1218
Phone
(406) 755-6014

Authorized Official

Name
DR. JOSHUA BLANTON-DICKENS, DMD
Title
MEMBER
Phone
(406) 755-6014

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Oral & Maxillofacial Surgery

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